Siamak Etehad MD Inc a Medical Corporation
NPI 1043657802 · Internal Medicine Physician · Northridge, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Siamak Etehad MD Inc a Medical Corporation is a Internal Medicine Physician organization in Northridge, CA (NPI 1043657802).
Provider details
- NPI number
- 1043657802
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Siamak Etehad, President(800) 673-8185
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2014-01-04
Frequently asked questions
- What is Siamak Etehad MD Inc a Medical Corporation's NPI number?
- Siamak Etehad MD Inc a Medical Corporation's National Provider Identifier (NPI) is 1043657802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Siamak Etehad MD Inc a Medical Corporation?
- Siamak Etehad MD Inc a Medical Corporation is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Siamak Etehad MD Inc a Medical Corporation located?
- Siamak Etehad MD Inc a Medical Corporation's practice location on file with NPPES is 17075 Devonshire St, Northridge, CA 91325-1600.
- What is Siamak Etehad MD Inc a Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Siamak Etehad MD Inc a Medical Corporation is (818) 363-2077.
- Does Siamak Etehad MD Inc a Medical Corporation accept Medicare?
- Siamak Etehad MD Inc a Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Siamak Etehad MD Inc a Medical Corporation?
- The authorized official listed on Siamak Etehad MD Inc a Medical Corporation's NPPES record is Siamak Etehad, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Siamak Etehad MD Inc a Medical Corporation's NPI active?
- Yes — Siamak Etehad MD Inc a Medical Corporation's NPI (1043657802) is active in the NPPES registry as of the last update on 2014-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.